EP1511752B3 - Camptothecins with a modified lactone ring - Google Patents

Camptothecins with a modified lactone ring Download PDF

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Publication number
EP1511752B3
EP1511752B3 EP03730480A EP03730480A EP1511752B3 EP 1511752 B3 EP1511752 B3 EP 1511752B3 EP 03730480 A EP03730480 A EP 03730480A EP 03730480 A EP03730480 A EP 03730480A EP 1511752 B3 EP1511752 B3 EP 1511752B3
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EP
European Patent Office
Prior art keywords
homocamptothecin
alkyl
branched
straight
group
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
EP03730480A
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German (de)
English (en)
French (fr)
Other versions
EP1511752A2 (en
EP1511752B8 (en
EP1511752B1 (en
Inventor
Mauro Marzi
Elena Marastoni
Sergio Penco
Claudio Pisano
Maria O. Tinti
Loredana Vesci
Franco Zunino
Domenico Vergani
Tamara Danelli
Walter Cabri
Marco Alpegiani
Martin Gomez Patricio
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Istituto Nazionale per lo Studio e la Cura die Tumori
Sigma Tau Industrie Farmaceutiche Riunite SpA
Original Assignee
Istituto Nazionale per lo Studio e la Cura die Tumori
Sigma Tau Industrie Farmaceutiche Riunite SpA
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Filing date
Publication date
Application filed by Istituto Nazionale per lo Studio e la Cura die Tumori, Sigma Tau Industrie Farmaceutiche Riunite SpA filed Critical Istituto Nazionale per lo Studio e la Cura die Tumori
Priority to SI200330509T priority Critical patent/SI1511752T1/sl
Priority to EP06116366A priority patent/EP1719775B1/en
Publication of EP1511752A2 publication Critical patent/EP1511752A2/en
Publication of EP1511752B1 publication Critical patent/EP1511752B1/en
Priority to CY20061101648T priority patent/CY1107311T1/el
Publication of EP1511752B8 publication Critical patent/EP1511752B8/en
Application granted granted Critical
Publication of EP1511752B3 publication Critical patent/EP1511752B3/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D491/00Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00
    • C07D491/22Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains four or more hetero rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P33/00Antiparasitic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Definitions

  • the invention described herein relates to compounds useful as medicaments, particularly derivatives of camptothecin with structural modifications of the lactone ring, to processes for their preparation, to their use as active agents endowed with topoisomerase I inhibiting activity and to pharmaceutical compositions containing them as active ingredients.
  • Camptothecin is an alkaloid isolated by Wall et al. (J. Am. Chem. Soc., 88, 3888-3890 (1966 )) for the first time from the tree Camptotheca acuminata, a plant native to China, belonging to the Nyssaceae family.
  • the molecule consists of a pentacyclic structure with a lactone in the E ring, which is essential for cytotoxicity.
  • lactone ring which is a portion of the molecule essential for the camptothecins to be able to exercise their pharmacological activity
  • stability of the ring itself which, in turn, is responsible for the half-life of the drug.
  • Patent application WO 97/00876 filed in the name of Societè de Biology de Frances et d'Applications Scientifiques, and published on 09.01.1997, describes camptothecins in which the lactone ring has been modified from its original ⁇ -hydroxylactone structure to a ⁇ -hydroxylactone structure (homocamptothecins), bringing the lactone cycle up from six to seven members. These compounds inhibit topoisomerase I DNA relaxation activity and are endowed with cytotoxic activity against several tumour lines.
  • the ⁇ -hydroxylactone structure is defined as a lactone that involves the presence of a supplementary carbon atom between the carboxyl carbon atom and the carbon atom in ⁇ - bearing the hydroxy in the ⁇ -hydroxylactone structure.
  • substituents on the supplementary carbon atom and the substituents indicated are the lower alkyls together with the lower alkoxy, halogen or hydroxy. In the patent application mentioned no evidence of improved stability of the lactone ring is provided.
  • substituted 7-oxime camptothecins with a modified lactone ring, are endowed with substantial anticancer activity and are stable in plasma. These compounds have a bettertherapeutic index.
  • the present invention includes the use of compounds of the above-mentioned formula (I) as active ingredients for medicaments, particularly for medicaments which are useful as topoisomerase I inhibitors.
  • active ingredients for medicaments, particularly for medicaments which are useful as topoisomerase I inhibitors.
  • medicaments particularly for medicaments which are useful as topoisomerase I inhibitors.
  • topoisomerase I inhibition we should mention the treatment of tumours and parasitic or viral infections.
  • the present invention includes pharmaceutical compositions containing compounds of formula (I) as active ingredients, in admixture with pharmaceutically acceptable vehicles and excipients.
  • the present invention also includes the processes for the preparation of compounds of formula (I) and (II), and the key intermediate products.
  • examples of the straight or branched C 1 -C 5 alkyl group are understood to include methyl, ethyl propyl, butyl, pentyl and their possible isomers, such as, for example, isopropyl, isobutyl, and ter-butyl
  • Examples of the branched or straight C 1 -C 5 alkenyl group are methylidene, ethylidene, vinyl, allyl, propargyl, butylene, and pentylene, where the double carbon-carbon bond may be situated in the various possible positions of the alkylene ring, which can also be branched in the context of the isomery allowed.
  • Examples of the C 8 -C 10 cycloalkyl group are cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cyclooctyl, and polycyclic groups, such as, for example, adamantyl.
  • Examples of the straight or branched (C 3 -C 10 ) cycloalkyl - (C 1 -C 5 ) alkyl group are cyclopropylmethyl, 2-cyclopropylethyl, 1-cyclopropylethyl, 3-cyclopropylpropyl, 2-cyclopropylpropyl, 1-cyclopropylpropyl, cyclobutylmethyl, 2-cyclobutylethyl, 1-cyclobutylethyl, 3-cyclobutylpropyl, 2-cyclobutylpropyl, 1-cyclobutylpropyl, cyclohexylmethyl, 2-cyclohexylethyl, 1-cyclohexylethyl, 3-cyclohexylpropyl, 2-cyclohexylpropyl, 1-cyclohexylpropyl, 5-cyclohexylpentyl, 3-cyclohexylpentyl, 3-methyl-2-cyclohexylbut
  • Examples of the straight or branched (C 6 -C 14 ) aryl or (C 6 -C 14 ) aryl - (C 1 -C 5 ) alkyl group are phenyl, 1- or 2-naphthyl, anthracenyl, benzyl, 2-phenylethyl, 1-phenylethyl, 3-phenylpropyl, 2-anthracenylpropyl, 1-anthracenylpropyl, naphthylmethyl, 2-naphthylethyl, 1-naphthylethyl, 3-naphthyl-propyl, 2-naphthylpropyl, 1-naphthylpropyl, cyclohexylmethyl, 5-phenylpentyl, 3-phenylpentyl, 3-methyl-2-phenylbutyl.
  • Examples of the straight or branched heterocyclic or heterocyclo - (C 1 -C 5 ) alkyl group are thienyl, quinolyl, pyridyl, N-methylpiperidinyl, 5-tetrazolyl, 2-(4,5-dihydroxazolyl), 1,2,4-oxadiazolidin-3-yl-5-one, purine and pyrimidine bases, e.g. uracyl, optionally substituted as indicated in the general definitions above.
  • Examples of the (C 6 -C 10 ) aroyl groups are benzoyl and naphthoyl.
  • Examples of the (C 6 -C 10 ) arylsulphonyl groups are tosyl and benzoylsulphonyl.
  • halogen is fluorine, chlorine, bromine and iodine.
  • substituted groups are pentafluorophenyl, 4-phenylbenzyl, 2,4-difluorobenzyl, 4-aminobutyl, 4-hydroxybutyl, dimethylaminoethyl, p-nitrobenzoyl, p-cyanobenzoyl.
  • polyaminoalkyl residue is -(CH 2 ) m -NR 12 -(CH 2 ) p -NR 13 -(CH 2 ) q -NH 2 , where m, p and q are whole numbers from 2 to 6 inclusive and R 12 and R 13 are a straight or branched (C 1 -C 5 ) alkyl group, for example 4-aminobutyl-2-aminoethyl, 3-amino-propyl-4-aminobutyl, 3-aminopropyl-4-aminobutyl-3-aminopropyl.
  • glycosyl residue 6-D-galactosyl and 6-D-glucosyl.
  • salts with pharmaceutically acceptable acids are, in the case of atoms of nitrogen of a basic nature, salts with pharmaceutically acceptable acids, both inorganic and organic, such as, for example, hydrochloric acid, sulphuric acid, acetic acid, or, in the case of an acid group, such as carboxyl, salts with pharmaceutically acceptable bases, such as, for example, alkaline and alkaline-hearth hydroxides, ammonium hydroxide, and amines, including heterocyclic amines.
  • acids both inorganic and organic, such as, for example, hydrochloric acid, sulphuric acid, acetic acid, or, in the case of an acid group, such as carboxyl, salts with pharmaceutically acceptable bases, such as, for example, alkaline and alkaline-hearth hydroxides, ammonium hydroxide, and amines, including heterocyclic amines.
  • One first group of preferred compounds comprises formula (I) compounds in which the lactone ring is 7- or 8- membered, particularly 7-membered.
  • R 4 is different from hydrogen, and particularly a straight or branched C 1 -C 5 alkyl or C 1 -C 5 alkenyl or C 8 -C 10 cycloalkyl, or (C 3 -C 10 ) cycloalkyl - (C 1 -C 5 ) alkyl group, or a straight or branched C 6 -C 14 aryl or (C 6 -C 14 ) aryl - (C 1 -C 5 ) alkyl group, or a straight or branched heterocyclic or heterocyclo - (C 1 -C 5 ) alkyl group, said heterocyclic group containing at least one heteroatom selected from an atom of nitrogen, optionally substituted with a (C 1 -C 5 ) alkyl group, and/or of oxygen and/or of sulphur, said alkyl, alkenyl, cycloalkyl, or (C 3 -C 10 ) cycloalkyl - (C 1 -
  • An initial group of particularly preferred compounds consists of formula (I) compounds, with a 7-membered lactone ring, and, among these, particularly:
  • R,S-7-(1-t-butoxy)iminomethyl-homocamptothecin ST2127)
  • R,S-7-benzyloxyiminomethyl-homocamptathecin ST2143
  • the starting compound is camptothecin, optionally substituted in positions 8 and 9 according to the meanings of the R 2 and R 3 groups envisaged above.
  • camptothecin is reacted with the desired alcohol, which can also be used as a reaction medium, in the presence of a mineral acid, such as, for example, sulphuric acid, and a suitable oxidising system, such as iron sulphate/hydrogen peroxide, then a further oxidising agent, such as manganese dioxide to obtain 7-(dialkoxymethyl) camptothecin.
  • a mineral acid such as, for example, sulphuric acid
  • a suitable oxidising system such as iron sulphate/hydrogen peroxide
  • Camptothecin, or its 7-(dialkoxymethyl)-derivative are subjected to selective reduction of the carbonyl in position 19, to obtain the corresponding 19,20-dihydroxy derivative.
  • the reduction is carried out in the presence of a reducing agent, for example, mixed hydrides of Al or B and exemplified in the scheme by sodium borohydride, from 1 to 10 equivalents in the presence of an alcoholic solvent for a period of , time ranging from 1 to 16 h at a temperature ranging from room temperature to 50°C.
  • a reducing agent for example, mixed hydrides of Al or B and exemplified in the scheme by sodium borohydride, from 1 to 10 equivalents in the presence of an alcoholic solvent for a period of , time ranging from 1 to 16 h at a temperature ranging from room temperature to 50°C.
  • the solvent is subsequently evaporated and the crude product is used in the subsequent step, where the E ring, in the form of the 19,20-dihydroxy derivative, is subjected to opening with from 1 to 10 equivalents of an oxidising agent, such as, for example, periodate or lead acetate.
  • an oxidising agent such as, for example, periodate or lead acetate.
  • the reaction is conveniently carried out in an organic solvent, such as, for example, toluene, methylene chloride or acetic acid, for a time period ranging from 1 to 24 h, at a temperature ranging from room temperature to 50°C.
  • the solvent is removed in vacuo and the product is finally purified by chromatography or some other equivalent means.
  • the intermediate product thus obtained is in turn dissolved in a suitable solvent medium, preferably a mixture of solvents, and then subjected to the well known Reformatsky reaction, in which the ⁇ -bromocarboxylic acid is suitably selected as a function of the n value envisaged in formula (I) or (II).
  • the compounds described in the present invention are topoisomerase I inhibitors and therefore are useful as medicaments, particularly for the treatment of diseases that benefit from the inhibition of said topoisomerase.
  • the compounds according to the present invention display antiproliferative activity and are therefore used on account of their therapeutic activity and possess physicochemical properties that make them suitable for formulation in pharmaceutical compositions.
  • compositions contain at least one formula (I) compound as an active ingredient, in an amount such as to produce a significant therapeutic effect.
  • the compositions covered by the present invention are wholly conventional and are obtained with methods which are common practice in the pharmaceutical industry. According to the administration route opted for, the compositions will be in solid or liquid form, suitable for oral, parenteral, or intravenous administration.
  • the compositions according to the present invention contain, along with the active ingredient, at least one pharmaceutically acceptable vehicle or excipient. Particularly useful may be formulation coadjuvants, such as, for example, solubilisers, dispersant agents, suspension agents and emulsifiers.
  • formula (I) compounds can also be used in combination with other active ingredients, such as, for example, other anticancer drugs or other drugs with antiparasitic or antiviral activity, both in separate and in single dosage forms.
  • the compounds according to the present invention are useful as medicaments with anticancer activity, for example, in lung cancers, such as non-microcytoma lung cancer, or in colorectal or prostate tumours or gliomas.
  • the cytotoxic activity of the compounds according to the present invention has been assayed in cell systems of human tumour cells, using the antiproliferative activity test as the method of evaluating the cytotoxic potential.
  • the cell line used is a non-microcytoma pulmonary adenocarcinoma called NCI H460, belonging to the NSCLC (non small cell lung cancer) class.
  • NCI-H460 non-microcytoma lung cancer cell line
  • the cells were seeded in a volume of 250 ⁇ l in 96-well plates and incubated for 24 h at 37°C. The next day the study compounds were added at scalar concentrations from 1 ⁇ M to 0.004 ⁇ M, and the cells were incubated for another 2 h at 37°C in a humidified atmosphere containing 5% CO 2 The cells were washed 3 times, overturning the plates each time and adding PBS. 200 ⁇ l/well of RPMI 1640 medium containing 10% FCS were added and the plates were incubated at 37°C for a further 72 h. On day 5, the growth medium was removed by overturning the plates, and 200 ⁇ l/well of PBS and 50 ⁇ l of 80% cold TCA were added.
  • the plates were then incubated in ice for at least 1 h.
  • the TCA was removed by overturning; the plates were washed 3 times by immersion in distilled water and dried first on blotting paper and then under a hot air jet.
  • 200 ⁇ l of 0.4% sulforodamine B in 1% acetic acid were added to all wells.
  • the plates were incubated at room temperature for a further 30 minutes.
  • the sulforodamine B was removed by overturning; the plates were washed by immersion 3 times in 1% acetic acid and then dried first on blotting paper and then with a jet of hot air.
  • 200 ⁇ l of Tris base 10 mM were added to all wells and the plates were subjected to stirring for at least 20 minutes.
  • the optical density was measured using a Multiskan spectrophotometer at 540 nm.
  • Table 1 presents the IC 50 values, that is to say the concentration capable of inhibiting 50% of cell survival, for each compound examined, processed using ALLFIT software.
  • Table 1 Product NCLH460 IC 50 ( ⁇ M) ST2127 0.026 ST2143 0.007
  • the suspension was cooled to 25°C and 2.8 ml of MnO 2 were added; the mixture was stirred for 2 hours, checking for disappearance of the intermediate product by TLC.
  • the suspension was then filtered through a layer of Celite placed on a Gooch filter.
  • the filtered solution was concentrated to 25 ml and then poured into a solution of NaHCO 3 in water so as to obtain a solution at pH 6.
  • the precipitate was filtered and purified on a silica gel chromatography column (eluents: CH 2 Cl 2 /MEOH 99/1). 1.02 g (2.42 mmol, 55%) of product were obtained as a yellow solid.
  • the S configuration was attributed to A ST2523 by analogy with the camptothecins with negative [ ⁇ ]D.

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  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • General Chemical & Material Sciences (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Pharmacology & Pharmacy (AREA)
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  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Tropical Medicine & Parasitology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Virology (AREA)
  • Communicable Diseases (AREA)
  • Oncology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Nitrogen Condensed Heterocyclic Rings (AREA)
  • Epoxy Compounds (AREA)
EP03730480A 2002-05-31 2003-05-28 Camptothecins with a modified lactone ring Expired - Lifetime EP1511752B3 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
SI200330509T SI1511752T1 (sl) 2002-05-31 2003-05-28 Kamptotecin z modificiranim laktonskim obrocem
EP06116366A EP1719775B1 (en) 2002-05-31 2003-05-28 Camptothecins with a modified lactone ring
CY20061101648T CY1107311T1 (el) 2002-05-31 2006-11-14 Καμπτοθεκινες με εναν τροποποιημενο λακτονικο δακτυλιο

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
ITRM20020030 2002-05-31
IT2002RM000305A ITRM20020305A1 (it) 2002-05-31 2002-05-31 Camptotecine con anello lattonico modificato.
PCT/IT2003/000328 WO2003101995A2 (en) 2002-05-31 2003-05-28 Camptothecins with a modified lactone ring

Related Child Applications (2)

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EP06116366A Division EP1719775B1 (en) 2002-05-31 2003-05-28 Camptothecins with a modified lactone ring
EP06116366A Division-Into EP1719775B1 (en) 2002-05-31 2003-05-28 Camptothecins with a modified lactone ring

Publications (4)

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EP1511752A2 EP1511752A2 (en) 2005-03-09
EP1511752B1 EP1511752B1 (en) 2006-09-13
EP1511752B8 EP1511752B8 (en) 2007-04-18
EP1511752B3 true EP1511752B3 (en) 2010-03-10

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EP06116366A Expired - Lifetime EP1719775B1 (en) 2002-05-31 2003-05-28 Camptothecins with a modified lactone ring

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US (1) US7273873B2 (ko)
EP (2) EP1511752B3 (ko)
JP (1) JP4693410B2 (ko)
KR (1) KR101042042B1 (ko)
CN (1) CN1656100A (ko)
AR (1) AR040139A1 (ko)
AT (2) ATE403659T1 (ko)
AU (2) AU2003241160B2 (ko)
BR (2) BR0311333A (ko)
CA (2) CA2706635A1 (ko)
CY (2) CY1107311T1 (ko)
DE (2) DE60322754D1 (ko)
DK (2) DK1511752T5 (ko)
ES (2) ES2273002T7 (ko)
IT (1) ITRM20020305A1 (ko)
MX (1) MXPA04011682A (ko)
PE (1) PE20050120A1 (ko)
PL (1) PL374346A1 (ko)
PT (2) PT1511752E (ko)
SI (2) SI1719775T1 (ko)
TW (1) TWI325866B (ko)
WO (1) WO2003101995A2 (ko)

Families Citing this family (8)

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Publication number Priority date Publication date Assignee Title
FR2852606A1 (fr) * 2003-03-18 2004-09-24 Inst Nat Sante Rech Med Moyens pour inhiber simultanement l'expression de plusieurs genes impliques dans une pathologie
ITRM20030344A1 (it) * 2003-07-14 2005-01-15 Ist Naz Stud Cura Dei Tumori 7-n-poliamminoalchil(ossi)imminometilcamptotecine recanti gruppi protettivi.
WO2009016068A1 (en) * 2007-08-01 2009-02-05 Sigma-Tau Industrie Farmaceutiche Riunite S.P.A. Crystalline form ii of 7-(dimethoxy-methyl) camptothecin, its use as intermediate and products obtained therefrom
CN102746314B (zh) * 2011-04-18 2016-07-06 华东师范大学 含有稳定7元内酯环的喜树碱类化合物、制备方法和用途
CN104530066A (zh) * 2015-01-06 2015-04-22 华东师范大学 一类新型高喜树碱衍生物、制备方法和用途
CA3138197A1 (en) 2019-05-14 2020-11-19 Nuvation Bio Inc. Anti-cancer nuclear hormone receptor-targeting compounds
EP4058464A1 (en) 2019-11-13 2022-09-21 Nuvation Bio Inc. Anti-cancer nuclear hormone receptor-targeting compounds
US11834458B2 (en) 2021-03-23 2023-12-05 Nuvation Bio Inc. Anti-cancer nuclear hormone receptor-targeting compounds

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Publication number Priority date Publication date Assignee Title
US4399276A (en) * 1981-01-09 1983-08-16 Kabushiki Kaisha Yakult Honsha 7-Substituted camptothecin derivatives
JPS57116076A (en) * 1981-01-09 1982-07-19 Yakult Honsha Co Ltd Novel camptothecin derivative and its preparation
FR2532591A1 (fr) 1982-09-02 1984-03-09 Hutchinson Nouveau dispositif de securite pour pneumatiques de vehicules ou autres engins
EP0835258B1 (fr) * 1995-06-21 2002-09-25 Societe De Conseils De Recherches Et D'applications Scientifiques (S.C.R.A.S.) Nouveaux analogues de la camptothecine, des procedes de preparation, leur application comme medicaments et les compositions pharmaceutiques les contenant
ATE216998T1 (de) * 1999-03-09 2002-05-15 Sigma Tau Ind Farmaceuti Camptothecin-derivate mit antitumor-wirkung

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EP1511752A2 (en) 2005-03-09
DE60308368D1 (de) 2006-10-26
AU2009236044B2 (en) 2011-03-24
US20050154003A1 (en) 2005-07-14
AU2009236044A8 (en) 2011-07-21
TWI325866B (en) 2010-06-11
SI1719775T1 (sl) 2009-04-30
DK1511752T5 (da) 2010-06-14
DE60308368T2 (de) 2007-09-06
DK1719775T3 (da) 2008-11-17
ES2312090T3 (es) 2009-02-16
EP1511752B8 (en) 2007-04-18
CA2706635A1 (en) 2003-12-11
PT1511752E (pt) 2007-01-31
JP2005531602A (ja) 2005-10-20
DE60322754D1 (de) 2008-09-18
WO2003101995A2 (en) 2003-12-11
PT1719775E (pt) 2008-09-30
CY1108793T1 (el) 2014-04-09
EP1511752B1 (en) 2006-09-13
CY1107311T1 (el) 2012-11-21
TW200404806A (en) 2004-04-01
AU2009236044A1 (en) 2009-12-03
KR101042042B1 (ko) 2011-06-16
SI1511752T1 (sl) 2007-02-28
PE20050120A1 (es) 2005-03-04
JP4693410B2 (ja) 2011-06-01
DE60308368T3 (de) 2010-09-16
ES2273002T7 (es) 2011-08-01
WO2003101995A3 (en) 2004-02-19
AU2003241160B2 (en) 2009-08-20
ATE403659T1 (de) 2008-08-15
CA2485201C (en) 2010-11-02
KR20050036909A (ko) 2005-04-20
AU2003241160A1 (en) 2003-12-19
ITRM20020305A1 (it) 2003-12-01
EP1719775B1 (en) 2008-08-06
CN1656100A (zh) 2005-08-17
ATE339422T1 (de) 2006-10-15
AR040139A1 (es) 2005-03-16
US7273873B2 (en) 2007-09-25
BR0311333A (pt) 2005-03-15
DK1511752T3 (da) 2007-01-29
BR0311329A (pt) 2005-02-22
ITRM20020305A0 (it) 2002-05-31
MXPA04011682A (es) 2005-03-31
PL374346A1 (en) 2005-10-17
WO2003101995A8 (en) 2004-12-23
AU2009236044B8 (en) 2011-07-21
CA2485201A1 (en) 2003-12-11
ES2273002T3 (es) 2007-05-01
EP1719775A1 (en) 2006-11-08

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